| NPI | 1689668550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME138084) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN md0000035773) |
| 207L00000X Anesthesiology (Licence: TX L6101) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-01-29 |